[marjenes@OPTUSNET.COM.AU Subject: Re: CVAD access and flushing In-Reply-To:]

Sat

Dear Claire – the environment for drawing up a syringe for later use i.e.
some hours later would need to be the standard used when making
pharmaceuticals (a clean room) i.e the same conditions that the prefilled
commercially avail syringes come in. As this is not possible in the first
scenario you mention, I would not be prefilling. In terms of evidence – a
trial to see whether the two are equal in preventing infection would be
unethical but I would suggest there would be evidence that this method in an
uncontrolled environment allows for the entry to and growth of, bacteria in
the syringe. In the delay of some hours and with an uncontrolled
temperature, some bacteria may multiply each half hour.

Regards,

Margaret Jennings
Marjen Education Services

website. http://www.marjenes.com.au
email. marjenes@optusnet.com.au

mob. 0404 088 754
fax. 03 9439 2436

Elizabeth A. Reading

Hi Clare,

Yes, I agree with Michael.

We use the pre-filled syringes too.

Cheers

Liz

Liz Reading

Clinical Nurse Consultant | Infection Prevention Service

Lower Mid North Coast Sector, HNELHD
C/o Manning Base Hospital, 26 York Street, TAREE, NSW, 2430
Tel 02 6592 9351 | Mob 0427 777 612 |
liz.reading@hnehealth.nsw.gov.au
http://www.health.nsw.gov.au

Michael Wishart

Hi Clare

My personal opinion is that this would be an ideal situation for the use of
commercial, prefilled saline flush syringes. Would certainly take the
uncertainty out of preparing the flush syringes in the home.

Cheers

Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

T +61 7 3326 3068 | F +61 7 3607 2226

E michael.wishart@svha.org.au |

W https://www.svphn.org.au

> On Behalf Of Clare Fowler

Good morning,

May I address the brains trust to ask – when accessing CVAD’s in the home
environment some staff draw up their flushes in the hospital clinic using no
touch technique. They then wrap and carry the flushes to the home to flush
and then attach IV A/B’s. Sometimes the drawing up is some hours prior to
administration.

Others take sterile equipment with them ( dressing pack, sterile syringes
needles and gloves) and draw up in the home immediately prior to flushing
and attaching.

I can’t find any evidence to tell me if having the Normal Saline sit in the
syringe during transport in a car for some hours prior to administration is
unsafe i.e. how long is too long for the flush to sit prior to
administration.?

My gut tells me that drawing up as close as possible to administration is
ideal – however no evidence available to change clinical practice.

Any help gratefully appreciated

Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
e: c
lare.fowler2@health.qld.gov.au | w:
https://clicktime.symantec.com/38NAFC4KcZZizXjvuG8acg7Vc?u=www.health.qld.go
v.au%2Fwidebay

follow us on social media

****************************************************************************
****

This email, including any attachments sent with it, is confidential and for
the sole use of the intended recipient(s). This confidentiality is not
waived or lost, if you receive it and you are not the intended recipient(s),
or if it is transmitted/received in error.

Any unauthorised use, alteration, disclosure, distribution or review of this
email is strictly prohibited. The information contained in this email,
including any attachment sent with it, may be subject to a statutory duty of
confidentiality if it relates to health service matters.

If you are not the intended recipient(s), or if you have received this email
in error, you are asked to immediately notify the sender by telephone
collect on Australia +61 1800 198 175 or by return email. You should also
delete this email, and any copies, from your computer system network and
destroy any hard copies produced.

If not an intended recipient of this email, you must not copy, distribute or
take any action(s) that relies on it; any form of disclosure, modification,
distribution and/or publication of this email is also prohibited.

Although Queensland Health takes all reasonable steps to ensure this email
does not contain malicious software, Queensland Health does not accept
responsibility for the consequences if any person’s computer inadvertently
suffers any disruption to services, loss of information, harm or is infected
with a virus, other malicious computer programme or code that may occur as a
consequence of receiving this email.

Unless stated otherwise, this email represents only the views of the sender
and not the views of the Queensland Government.

****************************************************************************
******

______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
for the use only of the intended recipient, and may not be duplicated or
used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by return
https://clicktime.symantec.com/3KVwFJb6MgaYp4Bq3EJSDE87Vc?u=email%2C%20delet
e%20the%20Email%2C%20and%20do not copy, print, retransmit, store or act in
reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not
guarantee that the Email is free from errors, viruses or interference.
Emails to and from SVHA or its related entities may be scanned and filtered
in locations outside Australia.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to products
or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.

Replies to this message will be directed back to the list. To create a new
message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to
admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’
(without the quotes) to listserv@aicalist.org.au

______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
for the use only of the intended recipient, and may not be duplicated or
used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by return email, delete the Email, and do not copy, print,
retransmit, store or act in reliance on the Email. St Vincent’s Health
Australia (“SVHA”) does not guarantee that the Email is free from errors,
viruses or interference. Emails to and from SVHA or its related entities may
be scanned and filtered in locations outside Australia.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to products
or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.

Replies to this message will be directed back to the list. To create a new
message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to
admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’
(without the quotes) to listserv@aicalist.org.au

Unless explicitly attributed, the opinions expressed in this email are those
of the author only and do not represent the official view of Hunter New
England Local Health District nor the New South Wales Government..

_____

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to products
or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.

Replies to this message will be directed back to the list. To create a new
message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to
admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’
(without the quotes) to listserv@aicalist.org.au

—
This email has been checked for viruses by AVG.
https://www.avg.com

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

[Author]

Posts